Hypoxia among patients on the liver-transplant waiting list
Background: Hepatopulmonary syndrome is formed by a triad of liver disease, intrapulmonary vascular dilatation and changes in blood gases. This condition is present in 4-32% of patients with cirrhosis. Aim : To analyze the blood gas changes data of patients in liver-transplant waiting list. Metho...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Colégio Brasileiro de Cirurgia Digestiva
2014-03-01
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| Series: | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202014000100056&tlng=en |
| _version_ | 1818945840414195712 |
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| author | Lucas Souto NACIF Wellington ANDRAUS Kathryn SARTORI Carlos Marlon BENITES Vinicius Rocha SANTOS Joel Avancini ROCHA-FILHO Luiz Carneiro D'ALBUQUERQUE |
| author_facet | Lucas Souto NACIF Wellington ANDRAUS Kathryn SARTORI Carlos Marlon BENITES Vinicius Rocha SANTOS Joel Avancini ROCHA-FILHO Luiz Carneiro D'ALBUQUERQUE |
| author_sort | Lucas Souto NACIF |
| collection | DOAJ |
| description | Background: Hepatopulmonary syndrome is formed by a triad of liver disease, intrapulmonary vascular dilatation and changes in blood gases. This condition is present in 4-32% of patients with cirrhosis. Aim : To analyze the blood gas changes data of patients in liver-transplant waiting list. Method: Clinical data of 279 patients in liver transplantation waiting list in May 2013 were studied. Overall patient was analyzed by the demographic aspects, laboratorial and image findings on exams that determine lung disease (hypoxemia) in these cirrhotic patients. The mean values and standard deviations were used to examine normally distributed variables. Results: There was a high prevalence of male patients (68%); the mean age was 51(±5,89) years, and the predominant reason for listing was hepatitis C cirrhosis. The MELD score mean was 16±5,89, without prioritization or special situation. The most common blood type was O in 129 cases (46%) and the mean of body max index was 25,94±4,58. Regarding arterial blood gas tests was observed 214 patients with PaO2 <90 mmHg, 80 with PaO2 <80 mmHg and 39 with PaO2 <50 mmHg. In relation to O2 saturation, 50 patients had <90%, 33 <80% and 10 <50%. Conclusion: Was observed a high rate of hypoxemia in patients on waiting list liver transplant. Due to the high severity and morbidity, is suggested better monitoring and therapeutic support to hypoxemic patients on liver transplant waiting list. |
| first_indexed | 2024-12-20T08:05:30Z |
| format | Article |
| id | doaj.art-690dcca6ed5e4cb48e50b1cf8f74d455 |
| institution | Directory Open Access Journal |
| issn | 0102-6720 |
| language | English |
| last_indexed | 2024-12-20T08:05:30Z |
| publishDate | 2014-03-01 |
| publisher | Colégio Brasileiro de Cirurgia Digestiva |
| record_format | Article |
| series | ABCD: Arquivos Brasileiros de Cirurgia Digestiva |
| spelling | doaj.art-690dcca6ed5e4cb48e50b1cf8f74d4552022-12-21T19:47:25ZengColégio Brasileiro de Cirurgia DigestivaABCD: Arquivos Brasileiros de Cirurgia Digestiva0102-67202014-03-01271565810.1590/s0102-67202014000100014Hypoxia among patients on the liver-transplant waiting listLucas Souto NACIFWellington ANDRAUSKathryn SARTORICarlos Marlon BENITESVinicius Rocha SANTOSJoel Avancini ROCHA-FILHOLuiz Carneiro D'ALBUQUERQUEBackground: Hepatopulmonary syndrome is formed by a triad of liver disease, intrapulmonary vascular dilatation and changes in blood gases. This condition is present in 4-32% of patients with cirrhosis. Aim : To analyze the blood gas changes data of patients in liver-transplant waiting list. Method: Clinical data of 279 patients in liver transplantation waiting list in May 2013 were studied. Overall patient was analyzed by the demographic aspects, laboratorial and image findings on exams that determine lung disease (hypoxemia) in these cirrhotic patients. The mean values and standard deviations were used to examine normally distributed variables. Results: There was a high prevalence of male patients (68%); the mean age was 51(±5,89) years, and the predominant reason for listing was hepatitis C cirrhosis. The MELD score mean was 16±5,89, without prioritization or special situation. The most common blood type was O in 129 cases (46%) and the mean of body max index was 25,94±4,58. Regarding arterial blood gas tests was observed 214 patients with PaO2 <90 mmHg, 80 with PaO2 <80 mmHg and 39 with PaO2 <50 mmHg. In relation to O2 saturation, 50 patients had <90%, 33 <80% and 10 <50%. Conclusion: Was observed a high rate of hypoxemia in patients on waiting list liver transplant. Due to the high severity and morbidity, is suggested better monitoring and therapeutic support to hypoxemic patients on liver transplant waiting list.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202014000100056&tlng=enLiver transplantationHypoxemiaLiver-transplant waiting listHepatopulmonary syndrome |
| spellingShingle | Lucas Souto NACIF Wellington ANDRAUS Kathryn SARTORI Carlos Marlon BENITES Vinicius Rocha SANTOS Joel Avancini ROCHA-FILHO Luiz Carneiro D'ALBUQUERQUE Hypoxia among patients on the liver-transplant waiting list ABCD: Arquivos Brasileiros de Cirurgia Digestiva Liver transplantation Hypoxemia Liver-transplant waiting list Hepatopulmonary syndrome |
| title | Hypoxia among patients on the liver-transplant waiting list |
| title_full | Hypoxia among patients on the liver-transplant waiting list |
| title_fullStr | Hypoxia among patients on the liver-transplant waiting list |
| title_full_unstemmed | Hypoxia among patients on the liver-transplant waiting list |
| title_short | Hypoxia among patients on the liver-transplant waiting list |
| title_sort | hypoxia among patients on the liver transplant waiting list |
| topic | Liver transplantation Hypoxemia Liver-transplant waiting list Hepatopulmonary syndrome |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202014000100056&tlng=en |
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